宫腔镜联合腹腔镜对输卵管性不孕诊断及治疗效果研究.docVIP

宫腔镜联合腹腔镜对输卵管性不孕诊断及治疗效果研究 　　[摘要] 目的 研究宫腔镜联合腹腔镜对输卵管性不孕的诊断及治疗效果。 方法 随机收取该院100例输卵管性不孕患者，并将输卵管性不孕患者随机分为两组，收取时间在2015年1月―2016年2月，对照组患者应用腹腔镜治疗，观察组患者实施宫腔镜联合腹腔镜治疗，将两组患者的诊断符合率进行对比，再对两组患者进行随访，将随访后的妊娠情况进行对比。结果 观察组输卵管性不孕患者诊断符合率90.00%高于对照组诊断符合率74.00%（P0.05）。观察组患者、对照组患者随访1年后，观察组宫内妊娠率84.00%以及输卵管疏通率86.00%优于对照组患者（P0.05）。结论 宫腔镜联合腹腔镜对输卵管性不孕具有较高的检查率，将宫腔镜腹腔镜联合应用后，能显著提高患者治疗效果，为一种有效的治疗方式和诊断方式。 　　[关键词] 宫腔镜；腹腔镜；输卵管性不孕；诊断；治疗效果 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）10（b）-0046-03 　　[Abstract] Objective This paper tries to study the diagnosis and treatment of tubal infertility by hysteroscopy combined with laparoscopy. Methods 100 cases of tubal infertility patients from January 2015 to February 2016 in this hospital were collected and were randomly divided into two groups， the control group was treated with laparoscopic treatment， and the observation group was treated by hysteroscopy combined with laparoscopy， and then the rate of diagnosis of the two groups of patients were compared， and then the pregnancy of two groups after follow-up were compared. Results The diagnostic coincidence rate of tubal infertility in the observation group was 90.00%， higher than that in the control group of 74.00%（P0.05）. The observation group and the control group were followed up for a year， intrauterine pregnancy rate of the observation group was 84.00%， and tubal patency rate was 86.00%， better than those of the control group（P0.05）. Conclusion Hysteroscopy combined with laparoscopy for tubal infertility has high examination rate. The combined application of hysteroscopy and laparoscopy can significantly improve the treatment effect， which is an effective treatment and diagnosis method. 　　[Key words] Hysteroscopy； Laparoscopy； Tubal infertility； Diagnosis； Treatment effect 　　由于?h境不断恶化，同时由于生活方式不断改变等因素影响，导致性不孕情况不断增加，对夫妻造成严重困扰，不孕是由于女性或者男性单方面引起，也可以由双方共同引起[1]。在临床中，输卵管不孕症较为常见，明确诊断较为困难。输卵管具有拾取卵子、运送精子及把受精卵运送到女性子宫腔的重要作用，近年来，输卵管堵塞情况呈上升趋势，如今输卵管不通或者功能障碍已成为女性患有不孕症的主要因素[2]。输卵管不通或者输卵管功能障碍主要是由于是急、慢性输卵管炎症而引起的，导致堵塞